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Home My WebLink About2597-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z~21.6 . .. Date April 26. , 19 71 THIS CERTIFIES that the building located at ~/S So~ll~d Beach Rqad Street Map No. Capt Kidd ~k No. Lot No. 67 & Pt 66 Ymttttuck . N,Y, conforms substantially to the Application for Building Permit heretofore filed in this office dated . · Dee l, , 1961+ . pursuant to which Building Permit No. 2~9~Z dated De~ 7 , 19 6bt , was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is Prtvs~te one family dwelling The certificate is issued to ~';ilheim Loh2- · · of the a£oresald building. Suffolk County Department of Health Approval House ~ 4~ · Vwne~ .... (owner, lessee or tenant) 30..1971.. b.y R: .Villa ......... h' ii or" ' FOI~I~I NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE K~PT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 2597 Z Date .......... J)eetel~ ....... -~. .................... , 19..(1~. Permission is hereby granted to: ............... ~e~l,~.~.te~...~,~Z.,. ............................ to ..... lh,hi~...lle~., e,ne -.£~m~l:~.-d.~.l.t~ng ................................................................................ at premises located at .... ~4~t,..J~..~..~.~l~..~Jj..~l-li-..(~j~lg..~-4-deJ..~l~;~~ ................... ............................................. ~fB..~..;See~h. I~ ........ l~t,t.t.~ ...... ? ........................... pursuant to application dated ..(~~T~.).....Del~egl~er~-.le/, ...... 19..~., and approved by the Building Inspector! Fee $..~L0~00 ......... Building Inspector \ 011fORGE E, LEONE, Commissioner SUFFOLK COUNTY DEPARTMENT OF HEALTH SUFFOLK coUNTY CENTER RIVERHEAD, NEW YORK 11901 DIVISION OF ENVIRONMENTAL HEALTH SERVICES EASTERN DISTRICT 727-4700 WESTERN DISTRICT 724-2500 March 30, 1971 Mr. Rensselaer G. Terry, Jr. Attorney and Counsellor aiL aw M~t~ Street Semibold, New York 11971 Re: Emmie Rusch & Erna Hackal; Permits #2595Z, 2596Z, 2597Z, 2~98Z, Dated: December 4, 196h Lots 66 and p/o 6~, p/o 66 and 67, p/o 69 and 68~ p/o 69 and 70 - Map of Captain Kidd Estates Dear Mr. Terry: In response to your letter of March 26, 1971 regarding the above referenced buildings, we have checked our files and also conducted a field inspection of the premises. Our files did not contain any material pertaining to these baildings. How- ever, my field inspector remembered inspecting the sewage disposal systems and approving them. With this imforma%iom and the fact that the homes are supplied water from a private water company, we have no objections to the Town of Southold B~i!~tng Inspector issuing certificates of occupancy for these buildings. Very truly yours, Robert A. Villa, P.E. Chief General Eagineering Services RAV:kJh FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Application No..~..Zf...~.... .......... Approved ~ .................................. , ] 9 ........ Permit No."~ ........~...~.....~... ............................... ................................ APPLICATION FOR BUILDING PERMIT Date ......... ....... , ........... INSTRUCTIONS a. Th~s application must be completely filled in by typewriter or in ink and submitted in duplicate to the BuildinL Inspector. b. Plat plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets o areas, and g,vlng a detailed description of layout of propertymust be drawn on the d~agram which is part of this application c. The work covered by this opplicatio.n may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Buzlding Permit to the applicant. Sud permit shall be kept on the premises avadoble for inspection throughout the progress of the work. e. No building shall be occup,ed or used in whole or m part Jar any purpose whatever until o Certificate of Occuponc shall have been granted by t~ J~uj~SJn.g;J~ '~.sj~ or:.~.' ~ :' ~ _ -~ _ ~ APPL CAT ON S HERE~ ~ to tH~Bmld~ar~Y ~e ~ssuance of o Buildi~ permit pursuant to th Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applic~le Laws, Ordinances c Regulations, for the construction of buddings, additions or alterations, or for removal or demolition, as herein describe, The apphcont ~ to comply with all apphcable laws, ordinances, b~ild~ng code and regulates. l .................................... : ........ j~ 'V' .. (~goature of appli~nt, or n~e, ~f a corporation) ~. 58, Ca~ve~o~ N.~.' ...................................................... ~.~ .'. ................................... (Address of a~licant) State whether applic, ant is owner, lessee, agent, architect, engineer, general contractor, elec~tricJ~n, plumber or builde Name of owner of premises ........................ ~.~ ............................................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1672 part Lot 66 1. Location of land on which proposed work will be done. Mop No: ............................................ Lot No: .~o~;...6.7... Street and Number ...... ~?..~..p..~:~.~.~.~..c1;.d..~.~..s.~.~.~.e.~.~.~.~.~.~.~.~?.9.~.~.~.~:. .......................................................... Mumcipahty 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: o Existing use and occupancy ....... .~'~..c.)...~....~.. ........................................................................................................ b. Intended use and occupancy ..... ~'e. sicl. e~l:~a;L .............................................................................................. 3 Nature of work (check which applicable): New Building ....... .:Jr.. ........ Addition .................. Alteration ................. Repmr .................... Removal .................... Demohtion .................... Other Work (Describe) ..................................... 4. Est,mated Cost $10,000. - .............. .$...1..0..,...0..Q ............................................................. (to be paid on filing this application) 5. If dwelhng, number of dwelling units ........... 9. P,g .......... Number of dwelling units on each floor ........................... If garage, number of cars .......................................................................................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................... 7. D,mensions of existing structures, if any: Front ..........................Rear .......................... Depth ........................... Height ............................ Number of Stories .............................................................................................................. D~mensions of same structure with alterations or additions: Front ................................ Rear ............................... Depth .............................. Height .............................. Number of Stories ........................................ 8. D~mensions of entire new construction: Front ............. .:,3.5 .......... Rear ........ 3.~. ............... Depth .......... 2.8 ............ Height ...o.o,e,...f~.t, or.~ .... Number of Stories ......... oru~ ............ 9. Size of lot: Front ........ 7...5..:..3..0. ........ Rear ........... ].~..,.Q.Q ..... Depth ....... ].2..A,,.1.5 ........... 10 Date of PurchaseS~p.t..2_2~...Z.c~6h .......................... Name of Former Owner ...D.~..k~.....~.~..t..a...t:.~.~., ....................... 11. Zone or use district in which premises are s~tuated ...... .1Z[...a.~.t:..~.t..~.c.~..~....Y.r. ....................................................... 12. Does proposed construction violate any zomng law, ordinance or regulation? ...... .~,o.. ........................................ 13. Name of Owner of premises ...~.~,.~.]P,P~.],~..~r ......... Address ..J..~.cJ...l~o~d.b.ul.1...A~ze~,. Phone No. Name of Architect .~...~..~.~.....~/:.~....~.~...~....~.~..~.~......Address J~Jz...~'7~..~Ac,.~.c~..Zsd~r. Phone No...h....~' ...... ./: Name of Contractor ..[~....~.....~...~..~..~,..~..Z.~g~..(~9.1::P.:Address ..R.t; ..... ,~S.,...C~.Z.v. er/coz~ Phone No. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fro, property lines. Give street and block numbers or description according to deed, and show street names and indicai whether interior or corner Iot.p~rt o£ lot 66 ancl a].l of lot No. 67~ M~p o£ Cnpl:. Kictct Estates, (Map #1672) Mattituck, N.Y. STATE OF NL:W YORK, ~ COUNTY OF ~.U~;f, olk.,...N~ ...... f S.S. i1% ...................... .~,],h~lm..:F4~r.r ........................................... being duly sworn, deposes and says that he is the applic, (Name of individual signing application) above named. He is the ................oJ~m_e.r. ........................................................................................................................ (Contractor, agent, corporate officer, etc.) ~ owner~:~ and is duly authorized to perform or have performed the said work and to make and th~s application; that all statements contained in this application are true to the best of his knowledge and bel and that the work wdl be performed in the manner set forth in the apphcation filed therewith. Sworn to before me this .......... .4...t:..h. ......... day of ........ .D..e-,.D.~l~b~..r ................. , 19...6..,g,4 ..~...'"'~/~ -' .......... - '-- ........................ PnmmJ~slon E~p~rcs March 30~